Oconnell, Kim Marie

Oconnell, Kim Marie is an sole proprietor health care provider with primary practice located at 477 Howard Rd , Rochester NY 14606-5655. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Oconnell, Kim Marie can be contacted via phone (585) 426-5436.

Contact Information

Primary practice address
477 Howard Rd Rochester NY 14606-5655
Phone: (585) 426-5436
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 257209-1 New York

Profile Details

NPI number 1073676839
LBN Legal business name Oconnell, Kim Marie
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 19th, 2006
Last updated Jul 9th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073676839 NPPES
New York MEDICAID 01987177

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